Individual
PATRICIA KOZLOWSKI PTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LPC
Contact information
Practice address
670 GRISWOLD ST, SUITE 3, NORTHVILLE, MI 48167-2675
(248) 347-3470
Mailing address
46160 LITCHFIELD DR, PLYMOUTH, MI 48170-3543
(734) 416-8526
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401005949
MI
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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